Provider Demographics
NPI:1720294556
Name:SELLEY, VICTORIA HUTTO (DO)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:HUTTO
Last Name:SELLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:ELIZABETH
Other - Last Name:HUTTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4535 DRESSLER RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2545
Mailing Address - Country:US
Mailing Address - Phone:330-492-4559
Mailing Address - Fax:330-409-8274
Practice Address - Street 1:4200 SUN N LAKE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-1986
Practice Address - Country:US
Practice Address - Phone:863-402-3133
Practice Address - Fax:863-402-3135
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT011609207P00000X
NC2010-00530207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine